Individual provider Active NPI

Brandon Bruce Bennett, D.P.T., L.A.T.

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1447570809
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PU 60159680 Issued in WA
Practice address
6307 Rich Rd SE
Olympia, WA 98501-5317
Phone
(360) 587-0686
Fax
(360) 359-7756
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PU 60159680 WA
Physical Therapist 225100000X PU 60159680 WA Primary

Addresses

Primary practice location

6307 Rich Rd SE
Olympia, WA 98501-5317

Mailing address

6307 Rich Rd SE
Olympia, WA 98501-5317
Phone (360) 587-0686

Other identifiers 2

IdentifierTypeStateIssuer
PU 60159680OtherWAPHYSICAL THERAPIST INTERIM PERMIT
A1 60054681OtherWAATHLETIC TRAINER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110117000061 WA Practitioner - Physical Therapist in Private Practice 2860681228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Empowered PLLCGroup PAC ID 7012347388, 4 clinicians

Practice addresses (Care Compare)

6307 Rich Rd SE
Olympia, WA 98501-5317
Phone (360) 587-0686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PU 60159680WAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Empowered, PLLC Physical Therapist CurrentSince Jan 28, 2020 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. Physical Therapist Past Accepting new patients
Tumwater Chiropractic Center PS PastSince May 23, 2005 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. Physical Therapist Past Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

6307 Rich Rd SE
Olympia, WA 98501
Phone (360) 349-8606

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

128 D St SW
Tumwater, WA 98501
Phone (360) 349-8606

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1447570809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 RICH RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985015317",
            "telephone_number": "360-587-0686",
            "fax_number": "360-359-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 RICH RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985015317",
            "telephone_number": "360-587-0686",
            "fax_number": "360-359-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRANDON",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.P.T., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WA",
            "license": "PU 60159680",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PU 60159680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST INTERIM PERMIT",
            "identifier": "PU 60159680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER LICENSE",
            "identifier": "A1 60054681",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.